nach oben

Indian Journal of Surgery

Erschienen in:

01.02.2012 | Review Article

Management of Post-Cholecystectomy Benign Bile Duct Strictures: Review

verfasst von: Sadiq S. Sikora

Erschienen in: Indian Journal of Surgery | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

Cholecystectomy is one of the common surgical procedure performed across the world and bile duct injury is a dreaded complication. The present review addresses the classification of injuries, preoperative preparation and evaluation of these patients and appropriate timing of surgery. A detailed preoperative evaluation combined with a meticulous wide anastomosis by experienced surgeons is the key in achieving long term success. Vascular injuries and its consequences on repair and outcome is also reviewed. Long term results of surgical repair and quality of life in these patients are excellent

Gilliland TM, Traverso LW (1990) Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis with emphasis on long-term relief of symptoms. Surg Gynecol Obstet 170:39–44PubMed

Mcsherry CK (1989) Cholecystectomy: the gold standard. Am J Surg 158:174–178PubMedCrossRef

Andren-Sandberg A, Allinder G, Bengmark S (1985) Accidental lesions of the common bile duct at cholecystectomy. Ann Surg 201:328–332PubMedCrossRef

Perrisat J (1993) Laparoscopic cholecystectomy: the European experience. Am J Surg 165:444–449CrossRef

Lee VS, Chari RS, Cucchiaro G, Meyers WC (1993) Complications of laparoscopic cholecystectomy. Am J Surg 165:527–532PubMedCrossRef

Davidoff AM, Pappas TN, Murray EA, Hilleren DJ, Johnson RD, Baker ME et al (1992) Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 215:196–202PubMedCrossRef

Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC (1993) Complications of laparoscopic cholecystectomy: a national survey of 4292 hospitals and an analysis of 77,604 cases. Am J Surg 165:9–14PubMedCrossRef

Woods MS, Traverso LW, Kozarek RA, Tsao J, Rossi RL, Gough D, Donohue JH (1994) Characteristics of biliary tract complications during laparoscopic cholecystectomy: a multi-institutional study. Am J Surg 167:27–34PubMedCrossRef

The Southern Surgeons club (1991) A prospective analysis of 1518 cholecystectomies. N Engl J Med 324:1073–1078CrossRef

10.

Strasberg SM, Hertl M, Soper NJ (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180:101–125PubMed

11.

Sikora SS, Kumar A, Das NR, Sarkari A, Saxena R, Kapoor VK (2001) Laparoscopic bile duct injuries: spectrum at a tertiary-care center. J Laproendosc Adv Surg Tech A11:63–68CrossRef

12.

Chaudhary A, Manisegran M, Chandra A, Agarwal AK, Sachdev AK (2001) How do bile duct injuries sustained during laparoscopic cholecystectomy differ from those during open cholecystectomy? J Laparoendosc Adv Surg Tech A 11(4):187–191PubMedCrossRef

13.

Bismuth H, Majno PE (2001) Biliary strictures: classification based on the principles of surgical treatment. World J Surg 25:1241–1244PubMedCrossRef

14.

Sikora SS, Srikanth G, Sarkari A, Kumar A, Saxena R, Kapoor VK (2003) Hilar benign biliary strictures: need for subclassification. ANZ J Surg 73(7):484–488PubMedCrossRef

15.

Bektas H, Schrem H, Winny M, Klempnauer J (2007) Surgical treatment and outcome of iatrogenic bile duct lesions after cholecystectomy and the impact of different clinical classification systems. Br J Surg 94(9):1119–1127PubMedCrossRef

16.

Lau WY, Lai EC (2007) Classification of iatrogenic bile duct injury. Hepatobiliary Pancreat Dis Int 6(5):459–463PubMed

17.

Hintze RE, Adler A, Veltzke W, Abou-Rebyeh H, Hammerstingl R, Vogl T et al (1997) Clinical significance of magnetic resonance cholangiopancreatography (MRCP) compared to endoscopic retrograde cholangiopancreatography (ERCP). Endoscopy 29:182–187PubMedCrossRef

18.

Mendler MH, Bouillet P, SautereauD CP, Cessot F, Le Sidaner A et al (1998) Value of MR cholangiography in the diagnosis of obstructive diseases of the biliary tree: a study of 58 cases. Am J Gastroenterol 93:2482–2490PubMedCrossRef

19.

Coakley FV, Schwartz LH, Blumgart LH, Fong Y, Jarnagin WR, Panicek DM et al (1998) Complex postcholecystectomy biliary disorders: preliminary experience with evaluation by means of breath-hold MR cholangiography. Radiology 209:141–146PubMed

20.

Chaudhary A, Negi SS, Puri SK, Narang P (2002) Comparison of magnetic resonance cholangiography and percutaneous transhepatic cholangiography in the evaluation of bile duct strictures after cholecystectomy. Br J Surg 89(4):433–436PubMedCrossRef

21.

deReuver PR, Grossmann I, Busch OR, Obertop H, van Gulik TM, Gouma DJ (2007) Referral pattern and timing of repair are risk factors for complications after reconstructive surgery for bile duct injury. Ann Surg 245(5):763–770CrossRef

22.

Goykhman Y, Kory I, Small R, Kessler A, Klausner JM, Nakache R, Ben-Haim M (2008) Long-term outcome and risk factors of failure after bile duct injury repair. J Gastrointest Surg 12(8):1412–1417PubMedCrossRef

23.

Schol FP, Go PMNYH, Gouma DJ (1995) Outcome of 49 repairs of bile duct injuries after laparoscopic cholecystectomy. World J Surg 19:753–756PubMedCrossRef

24.

Hepp J (1985) Hepaticojejunostomy using the left biliary trunk for iatrogenic biliary lesions. World J Surg 9:507–511PubMedCrossRef

25.

Blumgart LH, Kelly CJ (1984) Hepaticojejunostomy in benign and malignant high bile duct stricture: approaches to the left ducts. Br J Surg 71:257–261PubMedCrossRef

26.

Winslow ER, Fialkowski EA, Linehan DC, Hawkins WG, Picus DD, Strasberg SM (2009) “Sideways”: results of repair of biliary injuries using a policy of side-to-side hepatico-jejunostomy. Ann Surg 249(3):426–434PubMedCrossRef

27.

Bachellier P, Nakano H, Weber JC, Lemarque P, Oussoultzoglou E, Candau C, Wolf P, Jaeck D (2001) Surgical repair after bile duct and vascular injuries during laparoscopic cholecystectomy: when and how? World J Surg 25(10):13351345CrossRef

28.

Longmire WP, Sanford MC (1948) Intrahepatic cholangiojejunostomy with partial hepatectomy for biliary obstruction. Surgery 128:330–347

29.

Smith R (1981) Injuries of the bile ducts. In: Smith LR, Sherlock DS (eds) Surgery of the gallbladder and bile ducts. Butterworths, London, pp 361–381

30.

Mercado MA, Chan C, Orozco H, Villalta JM, Barajas-Olivas A, Eraña J, Domínguez I (2006) Long-term evaluation of biliary reconstruction after partial resection of segments IV and V in iatrogenic injuries. J Gastrointest Surg 10(1):77–82PubMedCrossRef

31.

Mercado MA, Chan C, Salgado-Nesme N, López-Rosales F (2008) Intrahepatic repair of bile duct injuries. A comparative study. J Gastrointest Surg 12(2):364–368PubMedCrossRef

32.

Lillemoe KD, Melton GB, Cameron JL, Pitt HA, Campbell KA, Talamini MA et al (2000) Post operative bile duct strictures: management and outcome in the 1990s. Ann Surg 232:430–441PubMedCrossRef

33.

Chapman WC, Halvey A, Blumgart LH, Benjamin IS (1995) Postcholecystectomy bile duct strictures. Arch Surg 130:597–604PubMedCrossRef

34.

Stewart L, Way LW (1995) Bile duct injuries during laparoscopic cholecystectomy: factors that influence the results of treatment. Arch Surg 130:1123–1129PubMedCrossRef

35.

Tocchi A, Costa G, Lepre L, Liotta G, Mazzoni G, Sita A (1996) The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures. Ann Surg 224:162–167PubMedCrossRef

36.

Sikora SS, Pottakkat B, Srikanth G, Kumar A, Saxena R, Kapoor VK (2006) Postcholecystectomy benign biliary strictures—long-term results. Dig Surg 23(5–6):304–312PubMedCrossRef

37.

Schmidt SC, Langrehr JM, Raakow R, Klupp J, Steinmüller T, Neuhaus P (2002) Right hepatic lobectomy for recurrent cholangitis after combined bile duct and right hepatic artery injury during laparoscopic cholecystectomy: a report of two cases. Langenbecks Arch Surg 387:183–187PubMedCrossRef

38.

Heinrich S, Seifert H, Krähenbühl L, Fellbaum C, Lorenz M (2003) Right hemihepatectomy for bile duct injury following laparoscopic cholecystectomy. Surg Endosc 17:1494–1495PubMed

39.

Lichtenstein S, Moorman DW, Malatesta JQ, Martin MF (2000) The role of hepatic resection in the management of bile duct injuries following laparoscopic cholecystectomy. Am Surg 66(4):372–376PubMed

40.

Laurent A, Sauvanet A, Farges O, Watrin T, Rivkine E, Belghiti J (2008) Major hepatectomy for the treatment of complex bile duct injury. Ann Surg 248(1):77–83PubMedCrossRef

41.

Thomson BN, Parks RW, Madhavan KK, Garden OJ (2007) Liver resection andtransplantation in the management of iatrogenic biliary injury. World J Surg 31:2363–2369PubMedCrossRef

42.

deSantibañes E, Ardiles V, Gadano A, Palavecino M, Pekolj J, Ciardullo M (2008) Liver transplantation: the last measure in the treatment of bile duct injuries. World J Surg 32(8):1714–1721CrossRef

43.

Ozden I, Bilge O, Tekant Y, Alper A, Emre A, Arioğul O (2008) Liver transplantation in the management of iatrogenic biliary tract injury. World J Surg 32(6):1230PubMedCrossRef

44.

Fernandez JA, Robles R, Marin C, Sanchez-Bueno F, Ramirez P, Parrilla P (2004) Laparoscopic iatrogeny of the hepatic hilum as an indication for liver transplantation. Liver Transpl 10:147–152PubMedCrossRef

45.

Halasz NA (1991) Cholecystectomy and hepatic artery injury. Arch Surg 126:137–138PubMedCrossRef

46.

Wudel LJ, Wright JK, Pinson CW et al (2001) Bile duct injury following laparoscopic cholecystectomy: a cause for continued concern. Am Surg 67:557–563PubMed

47.

Bismuth H (1981) How to treat a postoperative stenosis? In: Bismuth H, Lazorthes F (eds) Operative injury of the common bile duct. Masson, Paris, pp 47–107

48.

Alves A, Farges O, Nicolet J, Watrin T, Sauvanet A, Belghiti J (2003) Incidence and consequence of an hepatic artery injury in patients with postcholecystectomy bile duct strictures. Ann Surg 238(1):93–96PubMed

49.

Holbert BL, Baron RL, Dodd GD 3rd (1996) Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. Am J Roentgenol 166:815–820

50.

Smith GS, Birnbaum BA, Jacobs JE (1998) Hepatic infarction secondary to arterial insufficiency in native livers: CT findings in 10 patients. Radiology 208:223–229PubMed

51.

Gupta N, Soloman H, Fairchild R, Kaminski DL (1998) Management and outcome of patients with combined bile duct and hepatic artery injuries. Arch Surg 133:176–181PubMedCrossRef

52.

Madariaga JR, Dodson SF, Selby R, Todo S, Iwatsuki S, Starzl TE (1994) Corrective treatment and anatomic considerations for laparoscopic cholecystectomy injuries. J Am Coll Surg 179:321–325PubMed

53.

Stewart L, Robinson TN, Lee CM, Liu K, Whang K, Way LW (2004) Right hepatic artery injury associated with laparoscopic bile duct injury: incidence, mechanism, and consequences. J Gastrointest Surg 8(5):523–530PubMedCrossRef

54.

Li J, Frilling A, Nadalin S, Paul A, Malagò M, Broelsch CE (2008) Management of concomitant hepatic artery injury in patients with iatrogenic major bile duct injury after laparoscopic cholecystectomy. Br J Surg 95(4):460–465PubMedCrossRef

55.

Schmidt SC, Settmacher U, Langrehr JM, Neuhaus P (2004) Management and outcome of patients with combined bile duct and hepatic arterial injuries after laparoscopic cholecystectomy. Surgery 135(6):613–618PubMedCrossRef

56.

Koffron A, Ferrario M, Parsons W, Nemcek A, Saker M, Abecassis M (2001) Failed primary management of iatrogenic biliary injury: incidence and significance of concomitant hepatic arterial disruption. Surgery 130:722–728PubMedCrossRef

57.

Buell JF, Cronin DC, Funaki B, Koffron A, Yoshida A, Lo A, Leef J, Millis JM (2002) Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy. Arch Surg 137(6):703–708PubMedCrossRef

58.

Agarwal AK, Gupta V, Singh S, Agarwal S, Sakhuja P (2008) Management of patients of postcholecystectomy benign biliary stricture complicated by portal hypertension. Am J Surg 195(4):421–426PubMedCrossRef

59.

Perakath B, Sitaram V, Mathew G, Khanduri P (2003) Post-cholecystectomy benign biliary stricture with portal hypertension: is a portosystemic shunt before hepaticojejunostomy necessary? Ann R Coll Surg Engl 85(5):317–320PubMedCrossRef

60.

Blumgart LH, Kelley CJ, Benjamin IS (1984) Benign bile duct stricture following cholecystectomy: critical factors in management. Br J Surg 71:836–843PubMedCrossRef

61.

Sikora SS, Srikanth G, Agrawal V, Gupta RK, Kumar A, Saxena R, Kapoor VK (2008) Liver histology in benign biliary stricture: fibrosis to cirrhosis. .. and reversal? J Gastroenterol Hepatol 23(12):1879–1884PubMedCrossRef

62.

Way LW, Dunphy JE (1972) Biliary stricture. Am J Surg 124:287–295PubMedCrossRef

63.

Jarnagin WR, Blumgart LH (2000) Benign biliary strictures. In: Blumgart LH, Fong Y (eds) Surgery of the liver and biliary tracts, 3rd edn. WB Saunders Company Ltd, London, England, pp 895–933

64.

Mercado MA, Domínguez I (2011) Classification and management of bile duct injuries. World J Gastrointest Surg 3(4):43–48PubMedCrossRef

65.

Connor S, Garden OJ (2006) Bile duct injury in the era of laparoscopic cholecystectomy. Br J Surg 93:158–168PubMedCrossRef

66.

Raute M, Podlech P, Jaschke W, Manegold BC, Trede M, Chir B (1993) Management of bile duct injuries and strictures following cholecystectomy. World J Surg 17:553–562PubMedCrossRef

67.

McDonald MI, Farnell MB, Nagorney DM, Ilstrup DM, Kutch JM (1995) Benign biliary strictures: repair and outcome with a contemporary approach. Surgery 118:582–591PubMedCrossRef

68.

Pitt HA, Miyamato T, Parapatis SK, Thompkins RK, Longmire WP (1982) Factors influencing outcome in patients with postoperative biliary strictures. Am J Surg 144:14–21PubMedCrossRef

69.

Schweizer WP, Matthews JB, Baer HU, Nudelmann LI, Triller J, Halter F et al (1991) Combined surgical and interventional radiological approach for complex benign biliary tract obstruction. Br J Surg 78:559–563PubMedCrossRef

70.

Bottger T, Junginger T (1991) Long-term results after surgical treatment of iatrogenic injury of the bile ducts. Eur J Surg 157:477–480PubMed

71.

Moossa AR, Mayer AD, Stabile B (1990) Iatrogenic injury to the bile duct. Who, how, where? Arch Surg 125:1028–1031PubMedCrossRef

72.

Boerma D, Rauws EA, Keulemans YC, Bergman JJ, Obertop H, Huibregtse K et al (2001) Impaired quality of life 5 years after bile duct injury during laparoscopic cholecystectomy: a prospective analysis. Ann Surg 234:750–757PubMedCrossRef

73.

Melton GB, Lillemoe KD, Cameron JL, Sauter PA, Coleman J, Yeo CJ (2002) Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life. Ann Surg 235:888–895PubMedCrossRef

74.

Sarmiento JM, Farnell MB, Nagorney DM, Hodge DO, Harrington JR (2004) Quality-of-life assessment of surgical reconstruction after laparoscopic cholecystectomy-induced bile duct injuries: what happens at 5 years and beyond? Arch Surg 139:483–489PubMedCrossRef

Titel: Management of Post-Cholecystectomy Benign Bile Duct Strictures: Review
verfasst von: Sadiq S. Sikora
Publikationsdatum: 01.02.2012
Verlag: Springer-Verlag
Erschienen in: Indian Journal of Surgery / Ausgabe 1/2012
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-011-0375-6

Neu im Fachgebiet Chirurgie

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Recycling im OP – möglich, aber teuer

05.05.2024 DCK 2024 Kongressbericht

Auch wenn sich Krankenhäuser nachhaltig und grün geben – sie tragen aktuell erheblich zu den CO₂-Emissionen bei und produzieren jede Menge Müll. Ein Pilotprojekt aus Bonn zeigt, dass viele Op.-Abfälle wiederverwertet werden können.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2012

Donor Safety in Live-Related Liver Transplantation

Single-Incision Laparoscopic Surgery (SILS) in Biliary and Pancreatic Diseases

Diagnosis and Management of Choledochal Cysts

Liver Transplantation for HCC: A Review

Surgery for Pancreatic Carcinoma: State of the Art

Role of Endoscopic Ultrasound in Gastrointestinal Surgery

Update Chirurgie